X-ray, shoulder
Facility: Watsonville Community Hospital
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $1,332
- Cash Discount Price: $1,110
- vs. Medicare Baseline: 14.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1498% of the Medicare baseline (a markup of 1398%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Alliance/Sccho | $35 | 39% |
| Medicaid / KanCare | $37 | 42% |
| Well Path | $37 - $2,124 | 42% |
| Ccs/Monterey County | $37 | 42% |
| Healthy Families | $37 | 42% |
| California Childrens Srvs | $37 | 42% |
| Medi-Cal/Eds | $37 | 42% |
| Medi-Cal E.R. | $37 | 42% |
| Health Net Pmg HMO | $50 - $1,332 | 56% |
| Blue Cross Blue Shield | $50 - $1,892 | 56% |
| Great-West/Phcs | $50 - $1,487 | 56% |
| Aetna | $50 - $1,742 | 56% |
| Cigna | $50 - $1,487 | 56% |
| Pacificare HMO | $50 - $1,274 | 56% |
| Secure Horizons Dign HMO | $50 - $425 | 56% |
| Blue Shield HMO | $50 - $425 | 56% |
| UnitedHealthcare | $50 - $1,274 | 56% |
| Sheet Metal Workers | $109 - $1,892 | 123% |
| Western Growers Trust/Bc | $109 - $1,892 | 123% |
| Pinnacle Claims Tpa/Bc | $109 - $1,892 | 123% |
| Claims Management Wc | $109 - $1,892 | 123% |
| State Compensation Fund | $109 - $1,892 | 123% |
| Operating Engineers | $109 - $1,892 | 123% |
| Teamsters Benefit Trust | $109 - $1,892 | 123% |
| Laborers Health & Welfare | $109 - $1,892 | 123% |
| Carpenters H&W Trust | $109 - $1,892 | 123% |
| Calif Ironworkers Field | $109 - $1,892 | 123% |
| Monterey Bay Pub Emp Trst | $109 - $1,892 | 123% |
| City of Wats/Pinnacle Clm | $109 - $1,892 | 123% |
| Delta Health Systems | $109 - $1,892 | 123% |
| Robert Kennedy/Ccn | $109 - $1,892 | 123% |
| Medicruz | $284 - $382 | 319% |
| Victim Compensation Plan | $284 - $2,124 | 319% |
| Western Health Advantage | $789 - $1,062 | 887% |
| Self Pay | $947 - $1,274 | 1065% |
| Health Net Smartcare Netw | $947 - $1,274 | 1065% |
| Pacificare PPO | $947 - $1,274 | 1065% |
| Health Net Canopycare HMO | $989 - $1,332 | 1112% |
| Health Net of California | $989 - $1,332 | 1112% |
| Health Net Blue and Gold | $989 - $1,332 | 1112% |
| First Health | $1,104 - $1,699 | 1242% |
| Adventist Risk Management | $1,104 - $1,699 | 1242% |
| Transwestern | $1,104 - $1,699 | 1242% |
| Geha (Ccn) | $1,104 - $1,699 | 1242% |
| Multiplan Inc PPO | $1,230 - $1,657 | 1383% |
| Private Healthcare System | $1,230 - $1,657 | 1383% |
| Coastal Healthcare Admin | $1,341 - $1,911 | 1508% |
| Salinas Valley Mem Hops | $1,341 - $1,805 | 1508% |
| Miscellaneous Insurance | $1,578 - $2,124 | 1775% |
| Physicians Mutual | $1,578 - $2,124 | 1775% |
| Travelers Insurance | $1,578 - $2,124 | 1775% |
| Apwu Health Plan | $1,578 - $2,124 | 1775% |
| North Calif Bakery Driver | $1,578 - $2,124 | 1775% |
| Aarp | $1,578 - $2,124 | 1775% |
| Aaa | $1,578 - $2,124 | 1775% |
| Sutter Health Plus | $1,578 - $2,124 | 1775% |
| Humana | $1,578 - $2,124 | 1775% |
| Prucare Pmg HMO | $1,578 - $2,124 | 1775% |
| State Farm Ins | $1,578 - $2,124 | 1775% |
| Miscellaneous Auto | $1,578 - $2,124 | 1775% |
| Prucare Pmg POS | $1,578 - $2,124 | 1775% |
| Farmers Insurance | $1,578 - $2,124 | 1775% |
| Zenith National Ins | $1,578 - $2,124 | 1775% |
| Bankers Life & Casualty | $1,578 - $2,124 | 1775% |
| Wholesale Beer Distributo | $1,578 - $2,124 | 1775% |
| Allstate | $1,578 - $2,124 | 1775% |
| United Administrative | $1,578 - $2,124 | 1775% |